DeLana_RN

DeLana_RN BSN, RN

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All Content by DeLana_RN

  1. Being "written up"

    DeLana_RN replied to Sassybottom's topic in General Nursing

    I have to agree, it's hard to escape "disciplinary action" for one reason or another, especially for one's entire career. And it may be for something ridiculous - I was once written up for drinking...

  2. Attitude Problem

    DeLana_RN replied to AngiePansRN's topic in Dialysis, Renal, Urology

    No, Gambro. And I hear that things have only gotten worse under DaVita! I guess all the big companies are similar - I'm sure as a travel nurse you have seen it all (judging from some of your posts!)...

  3. Nurse/Patient ratio

    DeLana_RN replied to rubyslippers's topic in Dialysis, Renal, Urology

    When I worked in a 20-chair unit, we were staffed with 2 teams for 10 stations each; usually, there was an RN/LPN/PCT (or LPN/LPN/PCT) per team. The RN (or LPN) team leaders were responsible for 2...

  4. Attitude Problem

    DeLana_RN replied to AngiePansRN's topic in Dialysis, Renal, Urology

    I have to second that, in my 5+ years in a chronic unit we had excellent PCTs, LPNs and RNs but also horrible, incompetent, lazy ones with bad attitudes. Most of those, unfortunately, were techs (and...

  5. Attitude Problem

    DeLana_RN replied to AngiePansRN's topic in Dialysis, Renal, Urology

    I think what pp meant is that you can never really work as a UAP (PCT, CNA, etc) again once you have your nursing license (LPN or RN) because you will legally be held to a higher standard, no matter...

  6. My 4 yr old son is newly dx with Leukemia ALL

    DeLana_RN replied to SoulShine75's topic in General Nursing

    I'm so sorry to hear this, I know it's a very difficult time for your family. I have a friend whose daughter, Johanna (one of her twin girls), was diagnosed with ALL at 22 months. I'm happy to report...

  7. Why dont YOU wear a helmet??

    DeLana_RN replied to Crux1024's topic in General Nursing

    I think it's very dangerous not to wear a motorcycle helmet - and cannot understand why Florida repealed the helmet law a few years ago (need for more donors?) DeLana P.S. Guilty of not wearing a...

  8. Professional courtesy from police at traffic stops

    DeLana_RN replied to FireStarterRN's topic in General Nursing

    Yes, once. On the other hand, I was once stopped for DUI (!) by a rookie cop on my way to work the 7p-7a shift... never could figure that one out (I sure hadn't had anything to drink!), I hope it...

  9. My Pet-Peeve - Priming IV's

    DeLana_RN replied to Nurse_FF_EMT's topic in General Nursing

    Strange, I've never encountered this problem and have never been told to subtract the priming volume from the VTBI (quite the opposite - I was told to program for the actual volume to be infused - in...

  10. Fresenius medical care...taking over dialysis unit HELP!

    DeLana_RN replied to hodgpodge's topic in Dialysis, Renal, Urology

    Agree with pp, it would be difficult to be trained for a weekend-only position in dialysis (most chronic units are closed on Sundays, so you would only be able to work Saturdays - unless they also...

  11. RN vs. LPN: Need lot's of help, please. LONG!

    DeLana_RN replied to FinderKeeper's topic in General Nursing

    Agree with others, if I were you I would first complete the LPN program (although I first thought: why become an LPN if you have to study as long - 2 years - as for some RN programs? However, your...

  12. Plantar fasciitis--it's killing me!!

    DeLana_RN replied to marilynmom's topic in General Nursing

    I have plantar fasciitis in my right foot, caused by trauma in June '06 (I had fallen off a ladder in my kitchen); the pain was horrible initially - I could hardly walk and would have been unable to...

  13. called me a maid

    DeLana_RN replied to ohmeowzer RN's topic in General Nursing

    Hmm... if pts did call me a maid, I would have to be concerned about a pathological process! Appropriate responses include: - Do you know who you are? - What is the date? - Who is the president? (And...

  14. called me a maid

    DeLana_RN replied to ohmeowzer RN's topic in General Nursing

    Ouch... I'm 44 with 2-year-old twins. So far, nobody has insinuated that I was the grandmother... (she's 66, by the way). But to get back to the subject, I haven't been called anything but "nurse" yet...

  15. malpractice insurance; recommendations

    DeLana_RN replied to positivethinker's topic in General Nursing

    Yes, unfortunately. A friend of mine has tried to get NSO to send her a corrected certificate (they have her listed as a student instead of an RN) for a year now - yes, a year, and still nothing. In...

  16. Should I tell my friend or not?

    DeLana_RN replied to DutchgirlRN's topic in General Nursing

    Is she having trouble starting IVs? Many med/surg units have IV teams and the nurses may therefore have little or no experience starting IVs. And it does not come easily to everyone (I'm a dialysis...

  17. Should I tell my friend or not?

    DeLana_RN replied to DutchgirlRN's topic in General Nursing

    Agree with others, 2 days orientation is not much at all unless your have previous experience (often, even the experienced get more). Maybe you're just an unusually fast starter and your boss now...

  18. Wife is RN had med incident...wondering if going to loose license?

    DeLana_RN replied to paparazzi's topic in General Nursing

    Pp have given you good advice, I just would like to add the following: - Do not consider the hospital's lawyers and/or liability insurers to be your resources; they are not. I sure hope your wife has...

  19. What have other nurses done that have freaked you out?

    DeLana_RN replied to texas_lvn's topic in General Nursing

    Wow, this takes the cake. Did this nurse lose her license (in addition to her job) for gross incompetence?! The poor pt may well have lost his life, for urine is most certainly no longer sterile once...

  20. new dialysis nurse and lovin it!

    DeLana_RN replied to kmcourt66's topic in Dialysis, Renal, Urology

    4 years of med/surg seems a bit much... usually they're happy with one (which I had, although I later wished I had had more ). Anyway, it does sound like you are well prepared for a career as a...

  21. new dialysis nurse and lovin it!

    DeLana_RN replied to kmcourt66's topic in Dialysis, Renal, Urology

    Welcome to dialysis (and to nursing)! Although I don't normally recommend such a specialized field for a new grad, it sounds like you are in an excellent, supportive setting. Hospital-based dialysis...

  22. Can someone help me out?

    DeLana_RN replied to gigi69's topic in Dialysis, Renal, Urology

    In my hospital dialsyis unit, we would not touch a pt with a systolic BP in the 60's (actually, rarely below 90's)! She may be chronically hypotensive due to cardiac damage, as pp have pointed out,...

  23. how do I get into dialysis nursing

    DeLana_RN replied to IRERN's topic in Dialysis, Renal, Urology

    Some larger hospitals (like mine) have their own dialysis units not associated with the large dialysis providers. They may be willing to train nurses, especially those with recent acute care - and...

  24. Rule of thumb for new access needle size

    DeLana_RN replied to sueinga's topic in Dialysis, Renal, Urology

    Unlike a new AVF, a new AVG does not require smaller needles sizes or slower blood flows, although it cannot hurt. And although a graft does not have to mature, of course, at least 3 weeks should pass...

  25. Is this a good plan?

    DeLana_RN replied to msngrad's topic in Dialysis, Renal, Urology

    Hi there, I encourage you to look into dialysis, I know many LPNs who find this a more rewarding job than other positions. It also pays well (although not quite as much as long term care in my area)....